Troshev K, Gaidarov I
Department of Burns and Plastic Surgery, Bulgarian Medical Academy, Naval Hospital, Varna.
Acta Chir Plast. 1994;36(3):71-3.
The authors make an analysis of the acute period and treatment of severe burns affecting over 50% of body surface. In our cases we used a SAPEX fluid bed. All patients were surgically treated after the acute period. The characteristics of intensive care include infusion of a large amount of solutions to attain an abundant diurrhesis of 100 ml per hour. Rehabilitation with respiratory exercises and isometric complexes starts at the beginning of the second twenty four hour period. Tactics of sparing activity are widely used in our clinical practice during the last years. Using it we managed to cure 10 patients with over 80% of burned body surface.
作者对体表面积超过50%的重度烧伤急性期及治疗进行了分析。在我们的病例中，使用了SAPEX流体床。所有患者在急性期后均接受了手术治疗。重症监护的特点包括输注大量溶液以达到每小时100毫升的充足利尿。呼吸锻炼和等长运动组合的康复在第二个24小时周期开始时进行。近年来，我们在临床实践中广泛采用了适度活动策略。通过运用该策略，我们成功治愈了10例烧伤体表面积超过80%的患者。
